Individual provider Active NPI

Jeffrey Beauregard

  • Neurology Physician
  • Holland, MI
National Provider Identifier
1710480967
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101026223 Issued in MI
Practice address
844 Washington Ave Ste 1200
Holland, MI 49423-7186
Phone
(616) 396-7366
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101026223 MI Primary

Addresses

Primary practice location

844 Washington Ave Ste 1200
Holland, MI 49423-7186

Mailing address

844 Washington Ave Ste 1200
Holland, MI 49423-7186
Phone (616) 396-7366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726001153 MI Practitioner - Neurology 9032466271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

577 Michigan Ave
Suite 101
Holland, MI 49423-4911
Phone (616) 393-2190

Hospital & facility affiliations

  • Holland Hospital Hospital, Holland, MI, CCN 230072
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101026223MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital Neurology CurrentSince Aug 1, 2022 Accepting new patients
Holland Community Hospital CurrentSince Aug 1, 2022 Accepting new patients
Holland Community Hospital Current Accepting new patients
Holland Community Hospital Past Accepting new patients

Locations

415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208

844 Washington Ave
Holland, MI 49423
Phone (616) 355-3820

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

577 Michigan Ave
Ste 203
Holland, MI 49423
Phone (616) 393-5336

844 Washington Ave
Ste 1200
Holland, MI 49423
Phone (616) 393-5336

Interoperability endpoints

  • Direct secure messaging: jbeauregard140816@direct.hfhs.org
  • Direct secure messaging: jeffrey.beauregard@holland.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1710480967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON AVE STE 1200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237186",
            "telephone_number": "616-396-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON AVE STE 1200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237186",
            "telephone_number": "616-396-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUREGARD",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101026223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.